DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Autumn N	DOIID	1193979	NAIC NPN	19839051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/14/2022		8/31/2024
Active	Non Resident	Agent	Health	7/17/2023		8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/24/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	7/24/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/9/2023	5/7/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/9/2023	5/7/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/9/2023	5/7/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/17/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/9/2023	5/7/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/21/2022	6/5/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/13/2022	5/8/2024
Active	SilverScript Insurance Company	663526	Agent - Health	7/24/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/7/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/11/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/17/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/17/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	9/28/2022	5/15/2024